Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-24T12:47:30.383Z Has data issue: false hasContentIssue false

Failed discharges from the psychogeriatric ward

Published online by Cambridge University Press:  02 January 2018

Navin Savla
Affiliation:
Claybury Hospital, Woodford Bridge, Woodford Green, Essex IG8 8BY
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

‘Failed discharge’ was used as a measure of service efficacy on a psychogeriatric unit. Thirty-eight failed discharges from hospital were compared with 38 controls. Failed discharge was associated with a diagnosis of depression and a greater number of previous admissions. Possible underlying causes are discussed.

In the current NHS climate, it is increasingly important to measure the outcome of medical care. In psychiatry, the most appropriate methodology is not clear-cut (Garden & Oyebode, 1989). Tailed discharge’, or readmission to hospital within a short period of discharge, has been advocated as a possible outcome measure (Jones, 1991). This point prevalence study, of patients under 65 years, yielded a ‘failed discharge’ rate of 27%. Recurrence of original symptoms, poor treatment compliance and failure of follow-up arrangements emerged as important factors.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1995

References

Baldwin, B (1991) The outcome of depression in old age. International Journal of Geriatric Psychiatry, 6, 395400.CrossRefGoogle Scholar
Copeland, J. R. M., Davidson, I. A., Dewey, M. E., Gilmore, C. et al (1992) Alzheimer's disease, other dementias. depression and pseudo-dementia: prevalence, incidence and three year outcome in Liverpool. British Journal of Psychiatry, 161, 230239.Google Scholar
Garden, G. & Oyebode, F (1989) Audit in psychiatry. Psychiatric Bulletin, 13, 278281.Google Scholar
Jones, E. (1991) Audit in psychiatry: ‘failed discharges’. Psychiatric Bulletin, 15, 2627.Google Scholar
Murphy, E. (1983) The prognosis of depression in old age. British Journal of Psychiatry, 142, 111119.Google Scholar
Murphy, E. (1982) The prognosis of depression in old age. British Journal of Psychiatry, 141, 135142.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.